| NPI | 1477100022 |
|---|---|
| Doing Business As | LC DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | LUZ CUESTAS Owner/CEO 760-851-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |